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Article: Association of neighbourhood social and physical attributes with depression in older adults in Hong Kong: a multilevel analysis

TitleAssociation of neighbourhood social and physical attributes with depression in older adults in Hong Kong: a multilevel analysis
Authors
Keywordsdepression
Hong Kong
multilevel analysis
neighbourhood
Issue Date2020
PublisherBMJ Publishing Group. The Journal's web site is located at http://jech.bmjjournals.com/
Citation
Journal of Epidemiology and Community Health, 2020, v. 74 n. 2, p. 120-129 How to Cite?
AbstractBackground Previous studies investigating the independent effects of neighbourhood-level factors on depression are rare within the Asian context, especially in the elderly population. Methods Data for 29 099 older adults aged 65 years or above who have received health examinations at elderly health centres in Hong Kong in 2008-2011 were analysed. Using multilevel regression modelling, the cross-sectional associations of neighbourhood social attributes (neighbourhood poverty, ethnic minority, residential stability and elderly concentration) and physical (built) attributes (recreational services and walkability) with depression outcomes (depressive symptoms and depression) after adjusting for individual-level characteristics were investigated. Gender interaction effects were also examined. Results Neighbourhood poverty was associated with both depressive symptoms and depression in the elderly. Neighbourhood elderly concentration, recreational services and walkability were associated with fewer depressive symptoms. The association between neighbourhood poverty and elderly depressive symptoms was found in women only and not in men. Conclusion Policies aimed at reducing neighbourhood poverty, increasing access to recreational services and enhancing walkability might be effective strategies to prevent depression in older adults in the urban settings. © 2020 Author(s) (or their employer(s)). No commercial re-use. See rights and permissions. Published by BMJ.
Persistent Identifierhttp://hdl.handle.net/10722/290980
ISSN
2019 Impact Factor: 3.342
2015 SCImago Journal Rankings: 1.890

 

DC FieldValueLanguage
dc.contributor.authorGuo, Y-
dc.contributor.authorChang, SS-
dc.contributor.authorChan, CH-
dc.contributor.authorChang, Q-
dc.contributor.authorHsu, CY-
dc.contributor.authorYip, PSF-
dc.date.accessioned2020-11-02T05:49:51Z-
dc.date.available2020-11-02T05:49:51Z-
dc.date.issued2020-
dc.identifier.citationJournal of Epidemiology and Community Health, 2020, v. 74 n. 2, p. 120-129-
dc.identifier.issn0143-005X-
dc.identifier.urihttp://hdl.handle.net/10722/290980-
dc.description.abstractBackground Previous studies investigating the independent effects of neighbourhood-level factors on depression are rare within the Asian context, especially in the elderly population. Methods Data for 29 099 older adults aged 65 years or above who have received health examinations at elderly health centres in Hong Kong in 2008-2011 were analysed. Using multilevel regression modelling, the cross-sectional associations of neighbourhood social attributes (neighbourhood poverty, ethnic minority, residential stability and elderly concentration) and physical (built) attributes (recreational services and walkability) with depression outcomes (depressive symptoms and depression) after adjusting for individual-level characteristics were investigated. Gender interaction effects were also examined. Results Neighbourhood poverty was associated with both depressive symptoms and depression in the elderly. Neighbourhood elderly concentration, recreational services and walkability were associated with fewer depressive symptoms. The association between neighbourhood poverty and elderly depressive symptoms was found in women only and not in men. Conclusion Policies aimed at reducing neighbourhood poverty, increasing access to recreational services and enhancing walkability might be effective strategies to prevent depression in older adults in the urban settings. © 2020 Author(s) (or their employer(s)). No commercial re-use. See rights and permissions. Published by BMJ.-
dc.languageeng-
dc.publisherBMJ Publishing Group. The Journal's web site is located at http://jech.bmjjournals.com/-
dc.relation.ispartofJournal of Epidemiology and Community Health-
dc.rightsJournal of Epidemiology and Community Health. Copyright © BMJ Publishing Group.-
dc.rightsThis article has been accepted for publication in [Journal, Year] following peer review, and the Version of Record can be accessed online at [insert full DOI eg. http://dx.doi.org/10.1136/xxxxx]. [© Authors (or their employer(s)) OR © BMJ Publishing Group Ltd ( for assignments of BMJ Case Reports)] <year>-
dc.subjectdepression-
dc.subjectHong Kong-
dc.subjectmultilevel analysis-
dc.subjectneighbourhood-
dc.titleAssociation of neighbourhood social and physical attributes with depression in older adults in Hong Kong: a multilevel analysis-
dc.typeArticle-
dc.identifier.emailGuo, Y: yingqi@hku.hk-
dc.identifier.emailChan, CH: gchc@hku.hk-
dc.identifier.emailYip, PSF: sfpyip@hku.hk-
dc.identifier.authorityChan, CH=rp02477-
dc.identifier.authorityYip, PSF=rp00596-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1136/jech-2019-212977-
dc.identifier.pmid31676667-
dc.identifier.scopuseid_2-s2.0-85074496326-
dc.identifier.hkuros318517-
dc.identifier.volume74-
dc.identifier.issue2-
dc.identifier.spage120-
dc.identifier.epage129-
dc.publisher.placeUnited Kingdom-

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